M. Ghaly, Nesrin M. Handouka, A. Khashana, S. Shalaby, A. Fahim, A. Ramadan
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引用次数: 3
摘要
摘要:目的:了解青少年原发性纤维肌痛综合征(JPFS)患儿疼痛强度的变异性,并将每日疼痛模式与患儿的生活质量联系起来。对象和方法:46例年轻JPFS患者使用每日3次的小册子表,以0-10 cm视觉模拟量表自我报告疼痛强度,连续7天。在自愿的基础上,从儿科诊所随机招募46名年龄和性别相匹配的健康儿童和青少年作为对照。使用多维疼痛调查来调查白天疼痛的可变性,该调查每天在印刷的小册子中完成三次,持续一周,并与压痛点评分和儿科生活质量(PedsQL v 4.0)的初步评估相关。结果:JPFS患者白天疼痛强度发生变化。大多数JPFS患者(67%)具有较高的疼痛平均绝对变化(AAC) (>.1 VAS单位),较低的生活质量与较高的疼痛变异性相关。结论:JPFS患者的疼痛强度在一天中有所不同。较高的疼痛变异性通常与较低的生活质量相关。心理和功能方面应采用能够支持患有JPFS的儿童及其家庭成员的方法。
Within-Day Variability of Pain and Its Relation to Quality of Life in Children with Juvenile Primary Fibromyalgia Syndrome
Abstract Objective: To determine the variability in pain intensity experienced by children with Juvenile Primary Fibromyalgia Syndrome (JPFS) and to relate within-day patterns of pain to children’s quality of life. Subjects and methods: Pain intensity was self-reported on a 0–10 cm visual analog scale by 46 young subjects with JPFS using a daily booklet chart three times a day for seven days. Forty-six healthy children and adolescents matched by age and sex were randomly recruited as controls from a pediatric clinic on a voluntary basis. Variability in pain during the day was investigated using a multidimensional pain survey that was completed three times daily in a printed booklet for one week and was related in the primary evaluation to scores for tender points and pediatric quality of life (PedsQL v 4.0). Results: Variations in pain intensity were observed during the day in patients with JPFS. The majority of JPFS patients (67%) had a high Average Absolute Change (AAC) in pain (>1 VAS unit), and a lower quality of life was associated with high pain variability. Conclusions: Pain intensity in JPFS varies throughout the day. Higher pain variability is usually associated with a lower quality of life. Psychological and functional aspects should be addressed with approaches that can support children with JPFS and their family members.